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2.
Pediatr Clin North Am ; 70(1): 25-34, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402468

RESUMO

Effective child health advocacy is an essential strategy to improve child health, and can improve access to equitable care. It can also be professionally rewarding and improve career satisfaction. However, while advocacy has been a part of pediatrics since its origins as a specialty, many barriers to engaging in health advocacy exist which can be challenging to navigate. There are a wide range of organizational practice settings, which are each accompanied by unique strengths and limitations. No matter the practice setting, pediatricians can be effective advocates for child health through leveraging organizational, professional, and community resources and partnerships.


Assuntos
Defesa da Criança e do Adolescente , Serviços de Saúde da Criança , Criança , Humanos , Proteção da Criança , Saúde da Criança , Pediatras
3.
Pediatr Clin North Am ; 70(1): 1-10, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402460

RESUMO

The notion that the physician has a responsibility to both the patient in their care and the community in which they reside has been a source of inspiration and tension within the profession for centuries. The profession of Pediatrics has uniquely incorporated advocacy into its training programs and will likely continue to incorporate advocacy into its professional standards for the foreseeable future. In this article, we review the history of advocacy within the profession, outline the skills needs for successful child health advocacy and offer examples of how advocacy combined with pediatric practice has improved the lives of children.


Assuntos
Defesa da Criança e do Adolescente , Internato e Residência , Criança , Humanos , Defesa da Criança e do Adolescente/educação , Saúde da Criança
4.
Pediatr Clin North Am ; 70(1): 165-179, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402466

RESUMO

Clinicians who want to communicate child advocacy messages, stories, and arguments can draw on their clinical and scientific experience, but effective communication to wider--and nonmedical--audiences requires careful thought. We discuss choosing and honing the message, developing writing and speaking skills that fit both the exigencies of the chosen medium and format, including op-eds, essays, social media, public testimony, and speeches. We provide guidance on proposing articles, working with editors, shaping language and diction for a general audience, and drawing on clinical experiences while respecting confidentiality. all with the goal of effective communication, spoken and written, in the service of children and child advocacy.


Assuntos
Defesa da Criança e do Adolescente , Mídias Sociais , Criança , Humanos , Redação , Comunicação
5.
Pediatr Clin North Am ; 70(1): 43-51, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402470

RESUMO

Pediatrics is a specialty that is grounded in advocacy, possibly more than any other field of medicine. Infants, children, and adolescents depend on others to cover their basic needs including food, shelter, and education and rely on proxy voices to speak out on their behalf. In this article, we describe the importance of community advocacy in pediatrics, best practices for training pediatricians in community advocacy, and case studies to highlight trainee experiences and demonstrate how community advocacy and community-based participatory research can be incorporated in the career of a pediatrician.


Assuntos
Defesa da Criança e do Adolescente , Pediatria , Adolescente , Lactente , Criança , Humanos , Defesa da Criança e do Adolescente/educação , Pediatras
6.
Pediatr Clin North Am ; 70(1): 91-101, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402474

RESUMO

The last several years have seen accelerated activity and discourse directed at antiracism. Specifically following the 2020 murder of George Floyd, institutions across the country engaged in a range of introspective exercises and transparent reckonings examining their practices, policies, and history insofar as equity and racism is concerned. The authors of this article, both active protagonists in this domain, have been, and continue to be, part of ongoing national efforts and have learned much about the strategies and tactics necessary to initiate, engage, and sustain traction on the path to antiracism.


Assuntos
Saúde da Criança , Racismo , Criança , Humanos , Defesa da Criança e do Adolescente , Racismo/prevenção & controle
7.
Pediatr Clin North Am ; 70(1): xv-xvi, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36402475
8.
Rev. bioét. derecho ; (56): 5-28, Nov. 2022.
Artigo em Espanhol | IBECS | ID: ibc-210234

RESUMO

El Tribunal Supremo español aborda un caso de gestación por sustitución en el que, una vez nacido el niño en un país extranjero, se reclama judicialmente la filiación materna en España para la mujer comitente o madre de intención, con la que no tiene vínculo jurídico, con base en la posesión de estado. En el asunto que resuelve la STS de 31 de marzo de 2022, la vía elegida por la parte demandante no es el reconocimiento de la filiación ya establecida por las autoridades extranjeras donde ha tenido lugar el nacimiento, sino la reclamación judicial de la maternidad, manifestada por la posesión de estado, en interés del menor. Ello obliga a analizar si la posesión de estado es un mecanismo de determinación de la filiación, y si el interés del menor debe llevar ineludiblemente a atribuir la maternidad legal a la mujer que desempeña el rol de madre, aun careciendo de vínculo genético. La STS incluye otras afirmaciones acerca del orden público y la vulneración de derechos fundamentales que, aun siendo importantes porque revelan la posición del más alto tribunal, no son relevantes para resolver el caso planteado.(AU)


El Tribunal Suprem espanyol aborda un cas de gestació per substitució en el qual, una vegada nascut elnen en un país estranger, es reclama judicialment la filiació materna a Espanya per a la dona comitent o mare d'intenció, amb la qual no té vincle jurídic, amb base en la possessió d'estat. En l'assumpte que resol la STS de 31 de març de 2022, la via triada per la part demandant no és el reconeixement de la filiació ja establerta per les autoritats estrangeres on ha tingut lloc el naixement, sinó la reclamació judicial de la maternitat, manifestada per la possessió d'estat, en interès del menor. Això obliga a analitzar si la possessió d'estat és un mecanisme de determinació de la filiació, i si l'interès del menor ha de portar ineludiblement a atribuir la maternitat legal a la dona que exerceix el rol de mare, fins i tot mancant de vincle genètic. La STS inclou altres afirmacions sobre l'ordre públic i la vulneració de drets fonamentals que, fins i tot sent importants perquè revelen la posició del més alt tribunal, no són rellevants per a resoldre el cas plantejat.(AU)


The Spanish Supreme Court deals with a case of surrogacy in which, once the child is born in a foreign country, the maternal filiation in Spain is judicially claimed for the intended mother absent any genetic link based on the possession of status. In the case resolved by the Spanish Supreme Court of March 31, 2022, the legal path chosen by the claimant is not the recognition of filiation as established by the foreign authoritieswhere the birth has taken place, but the judicial claim of maternity, manifested by the possession of status, in the child’s best interest. This makes it necessary to analyse whether the appearance of filiation is a mechanism for determining filiation, and whether the child’s best interest must inevitably lead to attributing legal maternity to the woman who plays the role of mother, even without a genetic link. The Spanish Supreme Court also refers to public order and how surrogacy violates fundamental rights, arguments which, although important because they reveal the position of the highest court, are not relevant in this particular case.(AU)


Assuntos
Humanos , Gravidez , Defesa da Criança e do Adolescente , Menores de Idade , Família , Adoção , Estado , Bioética , Direitos Humanos , Ética , Princípios Morais
9.
Rev. bioét. derecho ; (56): 29-54, Nov. 2022.
Artigo em Espanhol | IBECS | ID: ibc-210235

RESUMO

En ausencia de instrumentos internacionales que establezcan pautas comunes sobre los acuerdos de gestación por sustitución transfronteriza, los ordenamientos que los prohíben o los consideran nulos han tenido que enfrentarse a la cuestión de sus efectos, lo que ya ha dado lugar a varios pronunciamientos del Tribunal Europeo de Derechos Humanos. A partir del precedente Mennesson c. Francia(2014), el trabajo analiza las diferentes aproximaciones al fenómeno que han sido objeto de escrutinio por parte del TEDH. El trabajo presta una atención especial, por su mayor frecuencia, a los casos que tienen origen en la negativa de un estado a reconocer la filiación resultante de un acuerdo de gestación por sustitución celebrado fuera de sus fronteras y, en particular, al peso otorgado a la exigencia de vínculo genético entre el menor y al menos un progenitor de intención. Los más recientes Valdís Fjölnisdóttir y otros c. Islandia(2021) y A.M. c. Noruega(2022) evidencian quelimitar el reconocimiento de efectos de estos acuerdos a los casos en que existe dicho vínculo no es coherentecon el interés superior de los menores que resultan de los mismos, en especial cuando su adopción ya no es posible.(AU)


A manca d’instruments internacionals que estableixin pautes comunes sobre els acords de gestació per substitució transfronterera, els ordenaments que els prohibeixen o els consideren nuls s’han hagut d’enfrontar a la qüestió dels seus efectes, el que ja ha donat lloc a diversos pronunciamentsper part del Tribunal Europeu de Drets Humans. A partir del precedent Mennesson c. França (2014), el treball analitza les diferents aproximacions al fenomen que han estat objecte d’escrutini per part del TEDH. El treball posa una atenció especial, atesa la seva major freqüència, en els casos que s’originen en la negativa d’un estat a reconèixer la filiació resultant d’un acord de gestació per substitució celebrat fora de les seves fronteres i, en particular, en el pes atorgat a l’exigència de vincle genètic entre el menor i com a mínim un progenitor d’intenció. Els més recents Valdís Fjölnisdóttir i altres c. Islàndia (2021) i A.M. c. Noruega (2022) evidencien que limitar el reconeixement d’efectes d’aquests acords als casos d’existència del mencionat vincle no és coherent amb l’interès superior dels menors que en resulten, en especial quan la seva adopció ja no és possible.(AU)


In the absence of international instruments establishing common guidelines for cross-border surrogacy agreements, jurisdictions that prohibit them or consider them null and void have been confronted with the question of their effects, which has already led to several rulings by the European Court of Human Rights. Based onthe leading case Mennesson v. France (2014), this paper analyses the different approaches to the phenomenon which have been scrutinized by the ECtHR. Due to their greater frequency, the paper pays special attention to cases arising from a state’s refusal to recognize parenthood resulting froma surrogacy arrangement concluded outside its borders and, in particular, to the weight given to the requirement of a genetic link between the child and at least one intended parent. The more recent Valdís Fjölnisdóttir and other v. Iceland(2021) and A.M. v. Norway(2022) make it clear that limiting the recognition of the effects of these arrangements to cases where such a link exist is not consistent with the best interests of the resulting children, especially when adoption is no longer possible.(AU)


Assuntos
Humanos , Direitos Humanos , Gravidez , Direito Internacional , Cooperação Internacional , Família , Adoção , Defesa da Criança e do Adolescente , Custódia da Criança , Privacidade , Bioética , Ética , Princípios Morais
10.
JAMA Pediatr ; 176(12): 1242-1247, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36279125

RESUMO

Importance: The US faces a pivotal moment of opportunity and risk regarding issues affecting children (aged 0-17 years). Although the US remains the only United Nations member state to not have ratified the Convention on the Rights of the Child (CRC), a child rights framework is essential for child health professionals seeking to advance many issues affecting children in the US. The Reimagining Children's Rights project (2020-2021) conducted an in-depth environmental scan of relevant literature and policy analysis using the Three Horizons design process to assess strategies that could advance the rights and well-being of children in the US. The project was overseen by a steering committee and informed by an advisory committee composed of youth leaders and experts in children's rights, advocacy, health, law, and a range of child-specific issues (eg, youth justice, early childhood development), who provided expert input on strategic considerations for advancing children's rights. Observations: Seven findings about advancing children's rights in the US are notable, all reflecting current gaps and opportunities for using a whole-child rights framework in the US, even without formal adoption of the CRC. Actionable strategies, tactics, and tools to leverage sustainable change in the multitude of issue areas can advance the current state of children's rights. High-potential strategies for catalyzing advancement of children's rights include youth activism, innovations in governance and accountability, legislative action, impact litigation, place-based initiatives, education and public awareness, alignment with other children's movements, and research. The child rights framework is unifying and adaptive to future unforeseen challenges. Conclusions and Relevance: Children's rights provide a powerful, synergistic framework for child health professionals-in partnership with youth and other leaders-to increase equity and protect the rights and well-being of all children in the US.


Assuntos
Defesa da Criança e do Adolescente , Nações Unidas , Adolescente , Criança , Pré-Escolar , Humanos , Justiça Social , Responsabilidade Social , Pessoal de Saúde
11.
J Child Sex Abus ; 31(7): 761-781, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36242552

RESUMO

Child Advocacy Centers (CACs) are well-positioned to identify children with mental health needs and facilitate access to evidence-based treatment. However, use of evidence-based screening tools and referral protocols varies across CACs. Understanding barriers and facilitators can inform efforts to implement mental health screening and referral protocols in CACs. We describe statewide efforts implementing a standardized screening and referral protocol, the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), in CACs. Twenty-three CACs were invited to implement the CPM-PTS. We used mixed methods to evaluate the first two years of implementation. We quantitatively assessed adoption, reach, and acceptability; qualitatively assessed facilitators and barriers; and integrated quantitative and qualitative data to understand implementation of mental health screening in CACs. Eighteen CACs adopted the CPM-PTS. Across CACs, screening rates ranged from 10% to 100%. Caregiver ratings indicated high acceptability. Facilitators and barriers were identified within domains of the Consolidated Framework for Implementation Research. Qualitative findings provided insight into adoption, reach, and caregivers' responses. Our findings suggest screening for traumatic stress and suicidality in CACs is valued, acceptable, and feasible. Implementation of mental health screening and referral protocols in CACs may improve identification of children with mental health needs and support treatment engagement.


Assuntos
Abuso Sexual na Infância , Defesa da Criança e do Adolescente , Criança , Humanos , Encaminhamento e Consulta , Programas de Rastreamento , Saúde Mental
12.
Lima; Organismo Andino de Salud Convenio Hipólito Unanue; 1 ed; 01 ago, 2022. 61 p.
Monografia em Espanhol | LILACS, LIPECS | ID: biblio-1401399

RESUMO

El ORAS-CONHU viene adelantando acciones para trabajar en pro de la defensa de los derechos de niños, niñas y adolescentes (NNA), considerando el análisis de las estrategias y mecanismos para avanzar en el reconocimiento de sus derechos. Participa activamente en las acciones del Colectivo Interinstitucional por los Derechos de la Niñez y Adolescencia, integrado por 32 organizaciones de Perú, que trabajan por la garantía de los derechos de esta franja poblacional, desde donde ha contribuido a la realización de comunicados y en el trabajo articulado con otras organizaciones. Esta publicacion refleja el resultado del estudio que analice los cambios significativos y aprendizajes identificados por los niños, niñas y adolescentes prosumidores, participantes en la experiencia de elaboración de los pódcast: Pandemic Tips, Los niños, niñas y adolescentes tenemos la palabra y, Vota por la niñez, producidos como estrategia de participación social y digital, realizados por el organismo Andino de Salud Convenio Hipólito Unanue (ORAS-CONHU) y el Colectivo Interinstitucional por los Derechos de la Niñez y Adolescencia.


Assuntos
Defesa da Criança e do Adolescente , Assistência Integral à Saúde , Comunicação em Saúde , COVID-19 , Peru , Venezuela , Bolívia , Chile , Colômbia , Equador
13.
Child Abuse Negl ; 132: 105789, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35849872

RESUMO

BACKGROUND: Some suspected child victims of physical or sexual abuse undergo dental forensic examinations at child advocacy centers (CACs) in Norway. Their oral health history has not previously been studied. OBJECTIVE: This study aimed to compare oral health history of CAC children to matched children. Additionally, the oral health history of children exposed to sexual abuse was compared to children exposed to physical abuse. PARTICIPANTS AND SETTING: The CAC cohort included 100 children, 3-16 years. The matched cohort, with no known history of abuse, included 63 children. METHODS: The retrospective study analyzed registered data in the children's dental records. RESULTS: CAC children were more likely than matched children to have caries experience in both primary and permanent teeth, with incidence rate ratio (IRR) 1.50 (95 % CI 1.01-2.25) and 1.92 (1.11-3.30). "Was Not Brought" to dental appointments was more than twice as likely, IRR 2.25 (1.31-3.86), in the CAC cohort. There were no significant differences in reports to the Child Protection Services or dental traumas. Suspected victims of sexual abuse had more caries, IRR 4.28 (2.36-7.77), and fillings, IRR 4.83 (2.55-9.16), in permanent teeth compared to suspected victims of physical abuse. CONCLUSIONS: CAC children were more likely to have caries experience and not show up for dental appointments than the matched children. Sexual abuse suspected had four times more caries experience than physical abuse suspected. This study supports the need for addressing oral health in risk evaluations concerning child abuse, and provides valuable information to dental professionals and prosecuting authorities.


Assuntos
Maus-Tratos Infantis , Defesa da Criança e do Adolescente , Criança , Serviços de Proteção Infantil , Humanos , Saúde Bucal , Estudos Retrospectivos
14.
Child Abuse Negl ; 131: 105710, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35728288

RESUMO

BACKGROUND: Children's Advocacy Centers (CACs) use a multidisciplinary team (MDT) approach to initiate, coordinate, and provide essential multisector services for children and families who experience child abuse. Despite rapid dissemination of the CAC model across the world, little is known about characteristics associated with CAC-based teamwork. OBJECTIVE: Given that teamwork characteristics may impact the outcomes of child and families who interact with CACs, the purpose of this qualitative study was to explore experiences, facilitators, and barriers to CAC-based multidisciplinary teamwork. PARTICIPANTS, SETTING, & METHODS: We conducted semi-structured interviews with members of a MDT at a Midwestern CAC. RESULTS: Findings suggest that MDT teamwork was fostered by clear communication, responsiveness, commitment, openness, and appropriate resources whereas MDT teamwork was hindered by role confusion, conflicting perspectives, poor communication, low staffing, complex politics, and structural barriers. CONCLUSIONS: Characteristics of CAC-based teamwork may vary from the teamwork of other types of child protection teams. Interventions that enhance CAC-based teamwork may optimize the function of CAC MDTs and improve outcomes for children and families who engage with CACs.


Assuntos
Abuso Sexual na Infância , Maus-Tratos Infantis , Criança , Maus-Tratos Infantis/prevenção & controle , Abuso Sexual na Infância/prevenção & controle , Defesa da Criança e do Adolescente , Família , Humanos , Equipe de Assistência ao Paciente , Pesquisa Qualitativa
15.
Health Expect ; 25(4): 1882-1891, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35644908

RESUMO

INTRODUCTION: Empowerment of families raising children with developmental disabilities (DDs) is essential to achieving rights-based service development. METHODS: In this qualitative study, we investigated stakeholder perceptions on the role of advocacy and empowerment in developing caregiver interventions for families of children with DDs in a global context. Participants had experience with at least one intervention, namely the Caregiver Skills Training developed by the World Health Organization (WHO). Participants were clinicians, caregivers and researchers representing five continents, and representatives of WHO and Autism Speaks. Two focus group discussions and 25 individual interviews were conducted. Data were analysed thematically. RESULTS: Three themes were developed: empowerment as independence and as a right; the role and practices of advocacy; and using evidence to drive advocacy. Many professional participants defined empowerment within the realms of their expertise, focusing on caregivers' individual skills and self-confidence. Caregivers expressed that this expert-oriented view fails to acknowledge their intuitive knowledge and the need for community-level empowerment. Participants discussed the challenges of advocacy in light of competing health priorities. The gap between the rights of caregivers and the availability of services, for example, evidence-based interventions, was highlighted as problematic. Scientific evidence was identified as a key for advocacy. CONCLUSION: Rights-orientated empowerment of caregivers and advocacy may make vital contributions to service development for children with DDs in contexts worldwide. PATIENT AND PUBLIC CONTRIBUTION: Research questions were revised based on views presented during focus group discussions. Participant feedback on preliminary themes informed the development of the interview guides.


Assuntos
Defesa da Criança e do Adolescente , Atenção à Saúde , Deficiências do Desenvolvimento , Empoderamento , Cuidadores/educação , Criança , Atenção à Saúde/normas , Deficiências do Desenvolvimento/terapia , Família , Grupos Focais , Humanos , Internacionalidade , Defesa do Paciente , Pesquisa Qualitativa
16.
San Salvador; A.L; jun. 22, 2022. 256 p. ilus.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1412562

RESUMO

La presente Ley tiene por finalidad garantizar el ejercicio y disfrute pleno de los derechos de toda niña, niño y adolescente y facilitar el cumplimiento de sus deberes, independientemente de su nacionalidad, para cuyo efecto se establece un Sistema Nacional de Protección Integral de la Primera Infancia, Niñez y Adolescencia con la participación de la familia, la sociedad y el Estado, fundamentado en la Constitución de la República y Tratados Internacionales sobre derechos humanos vigentes en El Salvador, especialmente, en la Convención sobre los Derechos del Niño


The purpose of this Law is to guarantee the exercise and full enjoyment of the rights of all children and adolescents and to facilitate the fulfillment of their duties, regardless of their nationality, for which purpose a National System for Comprehensive Protection of Early Childhood is established. Childhood and Adolescence with the participation of the family, society and the State, based on the Constitution of the Republic and International Treaties on human rights in force in El Salvador, especially the Convention on the Rights of the Child


Assuntos
Criança , Pré-Escolar , Adolescente , Jurisprudência , Defesa da Criança e do Adolescente , El Salvador
17.
San Salvador; A.L; jun. 2022. 28 p. ilus, graf.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1412571

RESUMO

El proceso de formulación de la Política Crecer Juntos fue un esfuerzo multisectorial en el cual participaron más de 25 instituciones del sector público y privado y se basó en dos enfoques: el enfoque de gestión, basada en resultados para el desarrollo (GpRD), y el enfoque participativo. Dicho proceso contó con la asistencia técnica del Banco Mundial, Unión Europea, Banco Interamericano de Desarrollo y Fondo de las Naciones Unidas para la Infancia. Crecer Juntos retoma los compromisos internacionales adquiridos por el Estado salvadoreño, así como el amplio marco normativo nacional que se enfoca en la protección integral de niñas y niños, a fin de garantizar el pleno goce de sus derechos


The process of formulating the Grow up together Policy was a multisectoral effort in which more than 25 public and private sector institutions participated and was based on two approaches: the management approach, based on results for development (MfDR), and the participatory approach. This process had the technical assistance of the World Bank, the European Union, the Inter-American Development Bank and the United Nations Children's Fund. resumes the international commitments acquired by the Salvadoran State, as well as the broad national regulatory framework that focuses on the comprehensive protection of girls and boys, in order to guarantee the full enjoyment of their rights


Assuntos
Desenvolvimento Infantil , Resumos , Políticas , Defesa da Criança e do Adolescente , El Salvador
18.
Pap. psicol ; 43(2): 90-95, mayo, 2022.
Artigo em Inglês, Espanhol | IBECS | ID: ibc-209887

RESUMO

La explotación sexual infantil y adolescente en España es un problema que requiere de una detección temprana de susvíctimas. Son escasas las herramientas que permitan llevar a cabo esta detección y no se dispone de ninguna en lenguaespañola. En este estudio se presenta una herramienta para la valoración del riesgo de sufrir explotación sexual enmenores desde los 11 años mediante la selección de aquellos indicadores que mejor la predicen. A partir de una revisiónsistemática de publicaciones en Europa, se preparó una batería de indicadores, los cuales fueron estudiados y filtradosen una consulta a expertos mediante panel Delphi para generar el primer instrumento que fue sometido a valoración enuna segunda fase de consulta con profesionales considerados como pares. El diseño final se acabó de perfilar por cuatroexpertos de universidades españolas. La herramienta de detección del riesgo de explotación sexual en la infancia yadolescencia EDR-ESIA ha demostrado ser un buen instrumento de detección y cribado, para su aplicación en servicioseducativos, de atención primaria de salud y servicios sociales de nuestro país.(AU)


Child sexual exploitation in Spain is a problem that requires the early detection of victims. There are few tools thatenable this detection, and none are available in Spanish. This study presents a tool for assessing the risk of sufferingsexual exploitation in minors from 11 years of age, by selecting the indicators that best predict it. Based on a systematicreview of publications in Europe, a battery of indicators was prepared, then studied and filtered via consultation withexperts using a Delphi panel to create the first instrument, which was then evaluated in a second phase consultationwith professionals considered as peers. The final construct was completed by four experts from Spanish universities.The tool for detecting the risk of sexual exploitation in childhood and adolescence, EDR-ESIA, has proven to be a gooddetection and screening instrument, for application in educational services, primary health care, and social services.(AU)


Assuntos
Humanos , Criança , Adolescente , Abuso Sexual na Infância , Fatores de Risco , Violações dos Direitos Humanos , Delitos Sexuais , Trabalho Infantil , Maus-Tratos Infantis , Defesa da Criança e do Adolescente , Espanha , Psicologia da Criança , Psicologia , Psicologia Social , Psicologia Clínica
20.
Acta Paediatr ; 111(6): 1186-1193, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35279867

RESUMO

AIM: Sweden´s first multidisciplinary children's advocacy centre (CAC) was founded in 2005 as a collaborative practice between child protection services, the legal system and health care in response to police-reported child abuse. CACs were introduced in the county of Skåne in 2007. The aim of the study was to describe the health of children investigated at the CAC in Lund, and to examine whether the CAC model of collaboration responded to the healthcare needs of these children. METHODS: All children aged 0-17 years investigated at the CAC in 2015 were included in this retrospective study. We reviewed the CAC files and the children's medical and dental records from one year prior to, until one year after their assessment at the CAC. RESULTS: Our review of the medical and dental records (n = 298) showed a high prevalence of mental, dental and physical ill-health. After the CAC joint meeting, only 1% of the children were referred for a medical examination and 4% for a focused forensic evaluation. CONCLUSION: Our study demonstrates limitations in the CAC process in responding to extensive health issues of the young victims of crime. We suggest mental, dental and physical health assessments to be statutory in CACs.


Assuntos
Abuso Sexual na Infância , Maus-Tratos Infantis , Criança , Abuso Sexual na Infância/diagnóstico , Abuso Sexual na Infância/prevenção & controle , Defesa da Criança e do Adolescente , Serviços de Proteção Infantil , Humanos , Estudos Retrospectivos
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